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RIDOC Citizens Correctional Academy Application 2025
Citizens Correctional Academy
Understanding Corrections and Enhancing Community Safety
1.
Full Name
2.
Date of Birth
3.
Home Address
Street
City
State
Zip Code
4.
Driver's License Number
5.
Occupation
6.
Organization Name
7.
Mobile Phone Number
8.
E-mail address (used for communication and class cancellations)
9.
Where did you hear about the Citizens Correctional Academy?
Facebook
LinkedIn
Television
Magazine
Word of Mouth
Other (please specify)
None of the above
10.
Briefly explain your interest in attending the Citizens Correctional Academy
11.
I hereby certify that the information contained in this application is true and complete to the best of my knowledge. By signing below, I hereby authorize the State of Rhode Island and the RI Department of Corrections to make any investigation of my personal history deemed necessary for consideration to attend the Citizens Correctional Academy.
As consideration for allowing me to participate in this program, I hereby waive any claim whatsoever by myself, my heirs and assigns, against the State of Rhode Island and the RI Department of Corrections, which may accrue as a result of my participating in this Citizens Correctional Academy.
Applicant's Signature
Date
